Individual provider Active NPI

Iyanura Ivory-Lindsey, RN

  • Registered Nurse
  • Milwaukee, WI
National Provider Identifier
1376892281
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
85547-30 Issued in WI
Practice address
3030 N 26TH St
Milwaukee, WI 53206-1123
Phone
(414) 732-1269
Fax
(414) 875-7317
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 85547-30 WI Primary

Addresses

Primary practice location

3030 N 26TH St
Milwaukee, WI 53206-1123

Mailing address

3030 N 26TH St
Milwaukee, WI 53206-1123
Phone (414) 732-1269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
85547-30WIMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1376892281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 N 26TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061123",
            "telephone_number": "414-732-1269",
            "fax_number": "414-875-7317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 N 26TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532061123",
            "telephone_number": "414-732-1269",
            "fax_number": "414-875-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVORY-LINDSEY",
        "first_name": "IYANURA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "85547-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.